Date of Award

2014

Degree Type

Dissertation

Department

Education and Human Services

First Advisor

Toman, Sarah degree supervisor

Subject Headings

Chronic pain -- Rehabilitation, Chronic pain -- Treatment, Backache -- Patients -- Rehabilitation, chronic pain, low back pain, interdisciplinary treatment, rehabilitation, mood, function

Abstract

The study utilized an individual change model to investigate the effectiveness of a chronic pain rehabilitation program at treating pain, mood (depression, anxiety, and stress), and function for chronic low back pain patients. This retrospective study consisted of a sample of 621 patients with a chronic low back pain diagnosis who completed an interdisciplinary rehabilitation program. The outcomes of pain, mood and function were assessed at four waves including admission, discharge, 6-month, and 12-month follow-ups using established instruments. The Depression, Anxiety, Stress Scale (DASS) by Lovibond and Lovibond (1995) was used to assess patients' self-reported levels of depression, anxiety and stress during the time period. The Pain Disability Index (PDI Tait, Chibnall & Krause, 1990) assessed pain-related disability in several areas of functioning including: family/home functioning, recreational functioning, social functioning, occupational functioning, sexual functioning, self-care functioning, and life support functioning. Finally, a self-report Likert scale was used to determine patients' self-reported levels of pain on a 0-10 point scale. Individual characteristics including age, gender, support, working status, and disability compensation status were also used as predictor variables

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